Case of Kyphoscoliosis Secondary to Polio: A Challenge to the Anaesthesiologist

Kyphoscoliosis presents a unique challenge to the anaesthesiologist for administrating sedation and anaesthesia owing to deformity of the spine and cardiopulmonary complications. Regional anaesthesia is particularly challenging. Asymmetrical and patchy block has been reported earlier. Spinal deformities may cause difficulties with both tracheal intubation and regional anaesthesia. We present a case report of a poliomyelitis patient with left femur fracture with thoracolumbar kyphoscoliosis posted for open reduction internal fixation. After examining the risk factors, spinal block by injecting single dose local anaesthetic solution to the intrathecal space was chosen to provide anaesthesia via the paramedian approach.